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qq - raheem - ArchivalUser - 11-20-2011

. A 54-year-old man with chronic obstructive
pulmonary disease
undergoes a total hip arthroplasty for avascular
necrosis of the femoral
head. On the second postoperative day, he has
diffuse, profound
weakness and vomiting. His blood pressure is 85/50 mm
Hg, and pulse is
100/min. The operative site is clean and dry, with
minimal output from the
drains. Hemoglobin level is 13.8 g/dL, serum sodium
level is 132 mEq/L,
and serum potassium level is 5.8 mEq/L. Which of the
following is most
likely to confirm the diagnosis?

A
) Measurement of serum thyroid-stimulating hormone
level

B
) Direct antiglobulin (Coombs') test

C
) ACTH stimulation test

D
) Ventilation-perfusion lung scans

E
) Echocardiography






0 - ArchivalUser - 11-20-2011

ccc


0 - ArchivalUser - 11-21-2011

The correct answer is C.

In moment of stress you need more stress hormone (cortisol)...If you have a subacute pathology, stressful events can reveal it.


0 - ArchivalUser - 11-21-2011

c: was thinking more of an adrenal insufficieny as a result of the surgery


0 - ArchivalUser - 11-21-2011

C,


0 - ArchivalUser - 11-21-2011

Sure c is d answer.